Section 10. Definitions

Section 20. Responsibility for regulations; application of regulations

Section 30. Powers and procedures of regulations not exclusive

Section 40. Exceptions

Section 50. Variances

Section 60. Issuance of a variance

Section 70. Content of variance

Section 80. Conditions of variance

Section 90. Termination of variance

Section 100. Denial of a variance

Section 110. Exemptions

Section 120. Public notice of request for exemption

Section 130. Public hearing for exemption request

Section 140. Issuance of an exemption

Section 150. Content of exemption

Section 160. Conditions of exemption

Section 170. Termination of exemption

Section 180. Denial of an exemption

Section 190. General exemptions from these regulations

Section 200. Right to enforcement

Section 210. Enforcement actions

Section 220. Suspension of a license, permit, certificate, endorsement or designation

Section 230. Revocation of a license, permit or certificate

Section 240. Correction order

Section 250. Judicial review

Section 260. Submission of complaints

Section 270. Investigation process

Section 280. Action by the Office of EMS

Section 290. Exclusions from these regulations

Section 300. Requirement for EMS agency licensure and EMS certification

Section 310. Provision of EMS within Virginia

Section 320. General applicability of the regulations

Section 330. Compliance with regulations

Section 340. EMS agency name

Section 350. Ability to pay

Section 360. Public access

Section 370. Designated emergency response agency

Section 380. EMS agency availability

Section 390. Destination to specialty care hospitals

Section 400. Nondiscrimination

Section 410. EMS agency licensure classifications

Section 420. Application for EMS agency license

Section 430. Issuance of an EMS agency license

Section 440. Display of EMS agency license

Section 450. EMS agency licensure renewal

Section 460. Denial of an EMS agency license

Section 470. Modification of an EMS agency license

Section 480. Termination of EMS agency licensure

Section 490. EMS agency insurance

Section 500. Place of operations

Section 510. Equipment and supplies

Section 520. Storage and security of drugs and related supplies

Section 530. Preparation and maintenance of records and reports

Section 540. Personnel records

Section 550. EMS vehicle records

Section 560. Patient care records

Section 570. EMS agency status report

Section 580. Availability of these regulations

Section 590. Operational Medical Director requirement

Section 600. Quality management reporting

Section 610. Designated emergency response agency standards

Section 630. Designated emergency response agency mutual aid

Section 640. EMS vehicle permit requirement

Section 650. Temporary EMS vehicle permit

Section 660. Denial of an EMS vehicle permit

Section 670. Display of EMS vehicle permit

Section 680. EMS vehicle advertising

Section 690. Renewal of an EMS vehicle permit

Section 700. EMS vehicle safety

Section 710. EMS vehicle occupant safety

Section 720. EMS vehicle sanitation

Section 740. EMS vehicle inspection

Section 750. EMS vehicle warning lights and devices

Section 760. EMS vehicle communications

Section 770. Ground EMS vehicle markings

Section 780. Air Ambulance markings

Section 790. EMS vehicle letter restrictions and specifications

Section 800. Nontransport response vehicle specifications

Section 810. Ground ambulance specifications

Section 820. Advanced life support equipment package

Section 830. Neonatal ambulance specifications

Section 840. [Repealed]

Section 850. EMS vehicle equipment requirements

Section 860. Required vehicle equipment

Section 870. Application for agency licensure

Section 875. Operations and safety

Section 880. Air medical service personnel classifications

Section 885. Training

Section 890. Equipment

Section 900. General requirements

Section 910. Criminal or enforcement history

Section 920. [Reserved]

Section 930. State and federal law compliance

Section 940. Drugs and substance abuse

Section 950. Disclosure of patient information

Section 960. Misrepresentation of qualifications

Section 970. Interference or obstruction of investigation

Section 980. False application for license, permit, certificate, endorsement or designation

Section 990. False statements or submissions

Section 1000. Falsification of materials

Section 1010. Misappropriation or theft of drugs

Section 1020. Discrimination in provision of care

Section 1030. Sexual harassment

Section 1040. Operational medical director authorization to extend priviledges for EMS practice

Section 1050. Scope of practice

Section 1060. [Repealed]

Section 1070. Extraordinary care outside of protocols

Section 1080. Inability to carry out medical control orders

Section 1090. Refusal of care

Section 1100. Consent or refusal

Section 1110. Transfer of patient care/patient abandonment

Section 1120. Provider disagreement over patient's needs

Section 1130. Attending of the patient during transports

Section 1140. Provision of patient care documentation

Section 1150. Emergency operation of EMS vehicle

Section 1160. Provision of care by mutual aid

Section 1165. EMS agency mutual aid response

Section 1170. Provision of care by students

Section 1180. Adequate response staffing

Section 1190. Attendant-in-charge authorization

Section 1200. Minimum age of EMS vehicle personnel

Section 1210. Nontransport response vehicle staffing

Section 1220. Transfer of ALS package

Section 1230. Ground ambulance staffing requirements

Section 1240. Basic life support vehicle transport

Section 1250. Advanced life support vehicle transport

Section 1260. Supplemented transport requirements

Section 1270. Neonatal transport requirements

Section 1280. [Repealed]

Section 1290. [Repealed]

Section 1300. [Repealed]

Section 1305. EMS First Responder (FR)

Section 1307. Emergency Medical Responder (EMR)

Section 1310. [Repealed]

Section 1315. Emergency Medical Technician (EMT)

Section 1320. [Repealed]

Section 1325. Emergency Medical Technician Enhanced (EMT-E)

Section 1330. [Repealed]

Section 1335. Intermediate

Section 1337. Advanced Emergency Medical Technician (AEMT).

Section 1340. [Repealed]

Section 1345. Paramedic

Section 1350. [Repealed]

Section 1355. Emergency Medical Technician-Instructor

Section 1360. [Repealed]

Section 1365. Advanced Life Support Coordinator

Section 1370. [Repealed]

Section 1375. EMS Education Coordinator

Section 1380. [Repealed]

Section 1385. Certifcation periods

Section 1387. Virginia EMS certification is required to practice

Section 1389. Initial course certification

Section 1390. [Repealed]

Section 1391. Certification through reciprocity

Section 1393. Certification through legal recognition

Section 1395. EMT certification challenge

Section 1400. [Repealed]

Section 1401. General recertification requirements

Section 1403. EMS provider recertification required

Section 1405. Documentation of continuing education (CE)

Section 1407. Recertifcation through reentry

Section 1409. Course curriculum

Section 1410. [Repealed]

Section 1411. BLS certification programs

Section 1413. Advanced life support certification programs

Section 1415. Nationally recognized continuing educaiton programs

Section 1417. Approved courses in cardio-pulmonary resuscitation

Section 1419. Continuing education programs

Section 1420. [Repealed]

Section 1421. Teaching materials/approved texts

Section 1423. Course announcement requirements

Section 1425. Emergency Medical Technician Instructor, Advanced Life Support Coordinator or EMS Education Coordinator responsibilities as employee or contractor

Section 1427. Course approval request submission

Section 1429. Course approval request changes

Section 1430. [Repealed]

Section 1431. Student course enrollment

Section 1433. Instructor participation records

Section 1435. Student records for certification courses

Section 1437. Continuing education record submission

Section 1439. Verification of student course completion

Section 1440. [Repealed]

Section 1441. Communications with PCD/OMD

Section 1443. Alternative course presentation format

Section 1445. Course scheduling

Section 1447. Maximum BLS or ALS course enrollment

Section 1449. Lesson instructors

Section 1450. [Repealed]

Section 1451. Course monitoring

Section 1453. Emergency Medical Technician Instructor, Advanced Life Support Coordinator, and EMS Educational Coordinator responsibilities for initial student testi

Section 1454. Admission to certification test.

Section 1455. Certification testing requirements

Section 1457. General description of certification examination

Section 1459. Certification eligibility

Section 1460. [Repealed]

Section 1461. Prohibition of oral examinations

Section 1463. Candidates requirements for state recertification

Section 1465. [Repealed]

Section 1467. Basic and advanced life support written examinations

Section 1469. Basic and advanced life support practical examinations

Section 1470. [Repealed]

Section 1471. Examination retest

Section 1473. Candidate evidence of eligibility for retesting

Section 1475. Candidate evidence of eligibility for secondary testing

Section 1477. Examination security and review

Section 1480. [Repealed]

Section 1490. [Repealed]

Section 1500. [Repealed]

Section 1501. BLS certification course attendance

Section 1503. BLS course student requirements

Section 1505. EMS First Responder certification program

Section 1507. First Responder bridge to EMT

Section 1509. EMS First Responder bridge length

Section 1510. [Repealed]

Section 1511. First Responder bridge to EMT certification examinations

Section 1513. Emergency Medical Technician (EMT) certification

Section 1515. Emergency Medical Technician (EMT) certification examination

Section 1520. [Repealed]

Section 1521. ALS course student requirements

Section 1523. EMT-Enhanced certification

Section 1524. Advanced EMT certification

Section 1525. Intermediate certification

Section 1527. Paramedic certification

Section 1529. Advanced life support bridge courses

Section 1530. [Repealed]

Section 1531. Registered Nurse to Paramedic Bridge

Section 1533. Registered Nurse to Paramedic Bridge program completion requirements

Section 1535. NREMT Paramedic endorsements

Section 1540. [Repealed]

Section 1541. Reserved

Section 1542. Reserved

Section 1543. EMT-Instructor recertification

Section 1544. EMT-Instructor reentry

Section 1545. Reserved

Section 1546. Reserved

Section 1547. Renewal of Advanced Life Support coordinator

Section 1548. EMS Education coordinator

Section 1549. EMS Education coordinator prerequisites

Section 1550. [Repealed]

Section 1551. EMS education coordinator certification process

Section 1552. EMS education coordinator recertification process

Section 1553. EMS education coordinator reentry

Section 1560. [Repealed]

Section 1561. EMS training fund

Section 1563. Contracting through the EMS training fund

Section 1565. Reserved

Section 1567. Reserved

Section 1570. [Repealed]

Section 1580. [Repealed]

Section 1590. [Repealed]

Section 1600. [Repealed]

Section 1601. Accreditation of EMS training programs

Section 1603. Sentinel events

Section 1605. Initial accreditation

Section 1607. Renewal of accreditation

Section 1609. Accreditation of alternative locations/learning sites

Section 1610. [Repealed]

Section 1611. Appeal of site accreditation application results

Section 1613. Accreditation of Paramedic programs

Section 1615. Equivalent accreditation of EMS programs

Section 1620. [Repealed]

Section 1630. [Repealed]

Section 1640. [Repealed]

Section 1650. [Repealed]

Section 1660. [Repealed]

Section 1670. [Repealed]

Section 1680. [Repealed]

Section 1690. [Repealed]

Section 1700. [Repealed]

Section 1710. [Repealed]

Section 1720. [Reserved]

Section 1800. Requirement for EMS physician endorsement

Section 1810. Qualifications for EMS physician endorsement

Section 1820. Application for EMS physician endorsement

Section 1830. Conditional endorsement

Section 1840. Lapse of EMS physician endorsement

Section 1850. Change in EMS physician contact information

Section 1860. Renewal of endorsement

Section 1870. Service by an EMS physician

Section 1880. Agreement to serve as an operational medical director

Section 1890. Responsibilities of operational medical directors

Section 1900. OMD and EMS agency conflict resolution

Section 1910. Change of operational medical director

Section 1920. Responsibilities of physician course directors

Section 1930. Compliance with training regulations

Section 1940. Physician course director responsibility to students

Section 1950. Physician endorsement exemptions

Section 1960. [Reserved]

Section 2000. [Repealed]

Section 2300. Purpose of designated regional EMS councils

Section 2310. Provision of regional EMS council services within Virginia and compliance with these regulations

Section 2320. Requirement for regional EMS council designation

Section 2330. Designation of a regional EMS council

Section 2340. Application process for designation

Section 2350. Inspection

Section 2360. Designation approval

Section 2370. Designation periods

Section 2380. Regional EMS councils requesting undesignation

Section 2390. Powers and procedures of regulations not exclusive

Section 2400. Exceptions

Section 2410. Variances

Section 2420. Issuance of a variance

Section 2430. Content of variance

Section 2440. Conditions of variance

Section 2450. Termination of variance

Section 2460. Denial of a variance

Section 2470. Exemptions

Section 2480. Public notice of request for exemption

Section 2490. Public hearing for exemption request

Section 2500. Issuance of an exemption

Section 2510. Content of exemption

Section 2520. Conditions of exemption

Section 2530. Termination of exemption

Section 2540. Denial of an exemption

Section 2550. Right to enforcement

Section 2560. Enforcement actions

Section 2570. Correction order

Section 2580. Suspension of a designation

Section 2590. Revocation of a designation

Section 2600. Judicial review

Section 2610. Submission of complaints

Section 2620. Investigation process

Section 2630. Action by the Office of EMS

Section 2640. [Reserved]

Section 2650. Composition of designated regional EMS councils

Section 2660. Governing body of a designated regional EMS council

Section 2670. Regional EMS plan

Section 2680. Regional trauma triage plan

Section 2690. [Reserved]

Section 2700. Financial assistance for emergency medical services

Section 2710. Base funding of designated regional EMS councils

Section 2720. Matching funds

Section 2730. Performance standards

Section 2740. Accountability for public funds

Section 2750. [Reserved]

Section 2760. [Reserved]

Section 2770. [Reserved]

Section 2780. [Reserved]

Section 2790. [Reserved]

Section 2800. [Reserved]

Section 2810. The Financial Assistance and Review Committee (FARC)

Section 2820. RSAF General Grant Program administration

Section 2830. Award of RSAF General Grants

Section 2840. RSAF General Grant award cycle

Section 2850. Emergency awards

Section 2860. EMS System Initiative Awards

Section 2870. Responsibilities of the grantee

Section 2880. Application for award

Section 2890. [Reserved]

Section 2900. Awards

Section 2910. Amount of grant award

Section 2920. Use of funds

Section 2930. Ownership

Section 2940. Improper expenditures

Section 2950. Modification of an award

Section 2960. Suspension of an award

Section 2970. Revocation of an award

Appendix 9998. FORMS (12VAC5-31)

Appendix 9999. DOCUMENTS INCORPORATED BY REFERENCE